Individual provider Active NPI

Quachetta Lashae Jones

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1972089712
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4136C Issued in AL
Practice address
3600 7TH CT S Ste 100
Birmingham, AL 35222-3217
Phone
(706) 505-0337
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4136C AL Primary

Addresses

Primary practice location

3600 7TH CT S Ste 100
Birmingham, AL 35222-3217

Mailing address

1109 Emerald Ridge Dr
Calera, AL 35040-6122
Phone (706) 505-0337

Other practice location 1

1109 Emerald Ridge Dr
Calera, AL 35040-6122
Phone (706) 505-0337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906001626 AL Practitioner - Clinical Social Worker 2668701244 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4136CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kolbe Clinic LLC Clinical CurrentSince Jun 1, 2020 Accepting new patients
Elite Counseling Center LLC Clinical CurrentSince Aug 19, 2020 Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Locations

109 Foothills Pkwy
Ste A
Chelsea, AL 35043
Phone (205) 775-0300

109 Foothills Pkwy
Ste 113
Chelsea, AL 35043
Phone (205) 451-9742

1830 Montclair Rd
Ste A
Irondale, AL 35210
Phone (205) 775-0300

500 Office Park Dr
Ste 212
Mountain Brk, AL 35223
Phone (205) 418-8087

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1972089712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 EMERALD RIDGE DR",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350406122",
            "telephone_number": "706-505-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 7TH CT S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352223217",
            "telephone_number": "706-505-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 Emerald Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Calera",
            "state": "AL",
            "postal_code": "350406122",
            "country_code": "US",
            "telephone_number": "706-505-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "QUACHETTA",
        "middle_name": "LASHAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4136C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.